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Hospital-based health technology assessment in Russian Federation: opportunities and prospects

Abstract

The problem of rational consumption of resources in situation of limited budgets is extremely relevant for modern health care. Currently, at the state level, there is a procedure for making decisions on the inclusion of new medicines in the restrictive lists (primarily in the List of vital and essential medicines (VED)). It is important to understand that, on the one hand, medicines are not the only medical technology used in the provision of medical care, on the other hand, the existing guidelines are a view of the health system, the State and society on their appearance in real clinical practice. At the same time, conducting clinical and economic research in the hospital allows to take into account the current strategic, organizational, financial, personnel aspects of a particular medical institution. The developed organizational and methodological model of the hospital assessment of health technologies describes the organizational aspects of health technologies assessment in the hospital, as well as the actual methodology of its implementation. The created methodology adapts the world experience of hospital assessment of health care technologies to the existing legislative, administrative, and personnel aspects of the work of medical institutions in the Russian Federation. Testing of the model in hospitals St. Petersburg demonstrated the possibilities and prospects of hospital assessment of health care technologies in Russian institutions, related to information support of management decisions on the introduction of new medical technologies (medicines, medical equipment, medical devices, etc.), taking into account the current strategic, organizational, financial, personnel aspects of a particular medical institution.

About the Author

Y. M. Gomon
FSBEI HE I.P. Pavlov SPbSMU MOH Russia; St. George the Martyr city hospital
Russian Federation
Gomon Yulia - Candidate of Medical Sciences, physician-clinical pharmacologist, St. George the Martyr city hospital, St. Petersburg; Associate Professor at the Department of clinical pharmacology and evidence-based medicine, FSBEI HE I.P. Pavlov SPbSMU MOH Russia


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Review

For citations:


Gomon Y.M. Hospital-based health technology assessment in Russian Federation: opportunities and prospects. Kachestvennaya Klinicheskaya Praktika = Good Clinical Practice. 2019;(4):40-49. (In Russ.)

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ISSN 2588-0519 (Print)
ISSN 2618-8473 (Online)